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Bilingual STD Case Manager
Disability Management Institute. Process and manage all Short-Term Disability claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing and managing Short-Term Disability claims, including eligibility assessment, benefit calculation, and medical evidence acquisition. Proficient in bilingual communication and collaboration with various stakeholders to ensure timely and accurate claims adjudication.
Highest-signal resume keywords
Claims ManagementBilingual CommunicationMedical TerminologyDisability Insurance ExperienceConfidentiality Maintenance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingEligibility AssessmentBenefit CalculationMedical Evidence AcquisitionAdjudicationAutomated Claims Payment SystemManual CalculationsDocumentation PreparationClient Service StandardsDisability Contract Language
Soft Skills
Verbal CommunicationWritten CommunicationCollaborationInterpersonal SkillsAttention to Detail
Certifications & Qualifications
CDMPLOMA
Industry Keywords
Short-Term DisabilityLong-Term DisabilityGroup InsuranceMedical BackgroundOccupational TherapistKinesiologyNursingPhysiotherapist
About the role
Key responsibilities & impact- Process and manage all Short-Term Disability claims
- Establish eligibility, calculate earnings and benefit levels, and obtain necessary medical evidence within required timelines
- Interview claimants and employers in English and French
- Process claims in date order according to client service standards
- Assess diagnoses and treatment plans using available resources
- Liaise professionally with insurance agencies, doctors, employees, management, and lawyers
- Release only allowable information to recognized recipients and provide information in writing
- Draft and deliver written correspondence identifying claim activity and next steps in English and French
- Participate in claim conference calls with employers
- Collaborate with the early intervention team to minimize absence duration and return claimants to work
- Provide documentation to insurance carriers for MTD/LTD claim processing
- Operate the automated claims payment system and perform manual calculations as required
- Adjudicate STD claims within established timeframes and policy guidelines
Requirements
What you’ll need- 3+ years of claims experience in a group insurance environment
- Experience in Long or Short term disability insurance preferred
- Post secondary degree or diploma or equivalent experience
- Familiarity with medical terminology and disability contract language an asset
- CDMP or LOMA designation an asset
- Medical background an asset, such as Occupational Therapist, Kinesiology, Nursing, or Physiotherapist
- Fluency in both English and French
- Strong verbal and written communication skills in English and French
- Ability to work within core business hours
- Ability to maintain confidentiality over client and corporate records and medical claims information
- Following training period, minimum 95% accuracy required
Benefits
Comp & perks- 3 weeks minimum vacation
- 26 long weekends a year through the Happy Friday program
- Flexible work options including remote and hybrid schedules
- Wellness support, including comprehensive mental health resources
- Clear career paths
- Personalized learning
- Leadership committed to investing in employee development
- Diversity, inclusion, and belonging-focused workplace
- Hiring-process accommodation support